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2012 Special Session I

Budget Amendments - HB1301 (Conference Report)

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State Employee Health Ins. -Pharmacy Providers (language only)

Item 468 #3c

Item 468 #3c

Central Appropriations
Central Appropriations

Language
Page 354, after line 24 insert:
"6.  The Department of Human Resource Management is prohibited from establishing a retail maintenance network for maintenance drugs that includes penalties for non-use of the retail maintenance network.  As an alternative, the Department shall include in the upcoming request for proposal a requirement that the successful bidder provide, upon request of the Department, all claims-related financial and utilization information relating to the provision of benefits and all other financial and utilization information relating to benefits to covered individuals.  This information shall include information on the nature, type, and amount of all other revenue received from a pharmaceutical manufacturer or labeler for programs relating to benefits to covered individuals of the State Employee Health Plan."


Explanation
(This amendment prohibits establishment of a retail maintenance network for maintenance drugs that includes penalties for non-use and instead requires future bidders to provide to the Department . Furthermore, the language requires that future contracts include provisions which ensure the Department has complete access to all financial information regarding the contractors administration of the health insurance program.)